Sample Table 3: Key Program Requirements

Clinical Review Criteria

Prohibition Against Financial Incentives

Telephonic

Coverage

Specified

Quality Assurance Program

Delegated Oversight

UM Reviewer Requirements

Medical Director Requirements

Same State Licensure Requirement

Offshore Reviews Permitted

Colorado

x

x

x

Connecticut

x

x

x

x

x

x

x

Delaware

x

x

x

x

x

x

x

To see the full table, please visit our Subscriptions page.